TANYA O WEATHERBY (NPI# 1053893693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053893693 |
| Entity Type | Individual |
| Full Name | TANYA O WEATHERBY |
| Credential | NP |
| Practice Address |
8050 E Lakeside Pkwy Tucson AZ 85730-1254 |
| Mailing Address |
1477 W Commerce Ct Tucson AZ 85746-6016 |
| Practice Telephone | 5205845820 |
| Practice Fax Number | 5205141514 |
| Mailing Telephone | 5207923293 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP11683 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1512 N Paseo La Tinaja, Green Valley, AZ 85614 | 5204905409 |
| Street Address |
8050 E LAKESIDE PKWY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942256482 | Rainier J Diaz | Psychiatry & Neurology | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2006-05-26 |
| 1053951285 | Gareth Moore Serrano | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2020-01-15 |
| 1023658390 | Diljot Grewal | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2020-01-14 |
| 1164924908 | Sara Rae Pondeca | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2018-03-07 |
| 1003353533 | Holly Marie Hill | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2017-01-23 |
| 1982153649 | Christie Ann Green | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2016-09-22 |
| 1194185264 | Kammy Willems | Social Worker | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2016-03-02 |
| 1063883064 | Mariah Blodgett | Nurse Practitioner | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2015-10-15 |
| 1700279288 | Susana Villa | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2015-03-09 |
| 1891123188 | Jennifer O'connor | Counselor | 8050 E Lakeside Pkwy, Tucson, AZ 85730-1254 | 2013-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| Find all providers in zip 85730 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| 1548876675 | Kara Gilliland | Nurse Practitioner | 5129 W Placita Del Herrero, Tucson, AZ 85745-9720 | 2020-09-23 |
| 1386250736 | Blue Sky Mental Health and Wellness Pllc | Nurse Practitioner | 7563 E Park View Dr, Tucson, AZ 85715-3561 | 2020-09-21 |
| 1770196628 | Victoria C. Weirick | Nurse Practitioner | 7733 E Marquise Dr, Tucson, AZ 85715-3778 | 2020-08-28 |
| 1326650144 | Ignacio William Nunez | Nurse Practitioner | 1570 E Tucson Marketplace Blvd, Tucson, AZ 85713-6568 | 2020-08-21 |
| 1235749656 | Rebecca Diaz | Nurse Practitioner | 5874 S Fiorenza Pl, Tucson, AZ 85747-6005 | 2020-08-01 |
| 1013526409 | Lora K White | Nurse Practitioner | 4170 N Camino Arco, Tucson, AZ 85718-7064 | 2020-07-30 |
| 1700495306 | Karma Selina Carty | Nurse Practitioner | 6121 E 20th St, Tucson, AZ 85711-5217 | 2020-07-29 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.